Colorectal Cancer Metastatic Clinical Trial
Official title:
Non-randomized Phase-IV-study to Investigate the Efficacy of FOLFIRI in Combination With Cetuximab in the First-line Treatment of Metastatic Colorectal Cancer Including a Regular Dermal Prophylaxis to Prevent Acneiforme Follicular Exanthema
The purpose of this interventional study is to assess the progression free survival (one
year) of patients with treatment of FOLFIRI and cetuximab, combined with an optional dermal
prophylaxis.
Further Objectives:
1. Development of acneiforme follicular exanthema >= grade 2
2. Duration until development of acneiforme follicular exanthema >= grade 2
3. Development of paronychia
4. Development skin fissure (hand and foot)
5. Objective remission according RECIST 1.1
6. Rate of secondary resections of liver metastasis with a curative approach
7. Assessment of safety and tolerability
8. Overall survival
9. Progression free survival
Subjects with metastatic colorectal cancer and confirmed KRAS-wildtype status in 1st line
therapy will be included in this phase IV-study. Subject will receive a regimen of FOLFIRI
in combination with Cetuximab every two weeks during study treatment phase. Treatment
continues until
- disease progression
- complete response
- development of status of operability
- an uncontrollable exanthema grade 3 or 4 or
- intolerable toxicity is diagnosed. After study discontinuation or end of treatment,
respectively, patients will be followed up until the the last patient was treated for
12 months and has completed the 36-months follow up phase. Tumor response will be
evaluated (according to RECIST 1.1) every 12 weeks and at the end of study treatment
;
Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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